THE VALUE OF ENDOSCOPY IN OTOLOGY AND NEURO-OTOLOGY
2003 年 13 巻 3 号 p. 163-173
詳細
2003 年 13 巻 3 号 p. 163-173
The challenges still facing otologists intraoperatively are the inability to determine the patency of the Eustachian tube and the inability to inspect some hidden areas of the middle ear.
The endoscope technology development may help to bridge this gap in our analysis of the middle ear cavities.
Material, applications, advantages and disadvantages will be underlined for each otologic approaches: external ear canal, mastoid cavity and Eustachian tube.
Endoscopy of the cerebellopontine angle (CPA) is a simple and helpful intraoperative refinement, which allows to reach the delicate and deep neurovascular components running through the CPA with minimal morbidity.
Our standard practice combining surgical and endoscopic procedure was to use the retrosigmoid approach.
Between 1993 to 2001, we applied such a procedure in various circumstances including tumor removal (395 cases) as well as neurovascular conflicts (421 cases).
